"Budesonide": tohutohu mō te whakamahi me te analogues. "Budesonide" inhalation: arotake, utu

Asthma kī tuatahi i roto i te ao i roto i te mate e pā ana ki te totoa o te pūnaha ārai mate. Hei te hamani hanga reira he nui nui o taero. Ko tētahi taua taputapu ko te "budesonide". Analogs o tenei tarukino Kei te hoki maha whakamahia mo te maimoatanga o te syndrome broncho-taunutia. Na he aha te mea tenei rongoā?

He aha te mea "Budesonide"?

no tenei tarukino ki te rōpū o glucocorticoids hau. Tenei taputapu Ko te tairitenga waihanga synthesized i roto i to tatou tinana (i roto i te uho adrenal) hormones. He aha te momo o te pānga kua "Budesonide"?

Tohutohu mō te whakamahi o te raau taero tohu e faarahi te kaihoko te nui o receptors beta-adrenergic kaha i roto i te Airways.

Ano, te poraka tarukino te mahi o prostaglandins inflammatory me leukotrienes, ko te kupu te ārai i te whanaketanga o te mumura i roto i te mucosa arahau.

puai te reira i ona pānga i muri i whakahaere ia i runga i te maha ra (te tikanga e pā ana ki 5-7 ra).

Ko tetahi o nga taero matua mō te rongoā nui huangō arahau, me te ma'i mate pūkahukahu taunutia. I roto i te wāhanga tuatahi o te whanaketanga o enei mate e kore e tono.

Pehea, Na, "Budesonide" he pānga i runga i te pūtau ūnga?

pharmacodynamics

Te raau i roto i te tono inhalation, pai whenumi i te mata o te pūkahukahu (i te mata o te mucosa nasal tata tae te tohanga nahanaha).

kitea mōrahi kukū wē o te tarukino i roto i 45 meneti i muri i inhalation. 85 ōrau o te tarukino taumai katoa herea ki te toto albumin toe wahi excreted te tonu.

Kei te tukatuka reira e te ate. Excreted i te tinana i roto i te wahi gastrointestinal (i roto i te ate) me te mimi.

Tūroro ki enei māuiuitanga tinana kitea he roa whakaroa te raau taero i roto i te toto, te mea kua meinga te whanaketanga o te nuinga o pōauautanga me tuwhena rawa o hormones glucocorticoid.

Ko taea ki te whakamahi i te raau taero i roto i te puka papa mo te maimoatanga o te kiko tūhonohono nahanaha (engari ōrau 10 anake o te moni katoa o te tarukino, kua tomo e te wahi gastrointestinal kia whai i te pānga haumanu).

E taea hoki te whakamahi i te reira no te rongoā mate kore-inflammatory o te mucosa nasal tika ki te mahi rohe auroa.

Tuhinga

I roto i ētahi wā, Heoi, ka taea e koe tautapa "Budesonide"? Tohutohu mō te whakamahi rārangi te mate matua i roto i e taea te whakamahi ēnei taero:

• huangō arahau. ka te tarukino whakawhetai rongonui ki tona pānga anti-inflammatory me te kaha ki te tautāwhi i te mahi o kaitakawaenga inflammatory.
• mate o Crohn. Hoki penei te mate whakamahi puka tableted o te tarukino. hoatu te tarukino te ki te kaha ai murunga i roto i ngā puka ngawari me te āhua o te mate.
• Maimoatanga o te Rhinitis. E whakaatu ana te reira i te ohipa o te puka intranasal o budesonide mō te tauturu o tohu o tarutaru kirika, me te Rhinitis pāwera. He māngai pai mō te rongoā i te mate, ko te "Budesonide Formoterol".
• Prevention o te hohokitanga o polyposis, mucosa nasal. whakamahia te raau i roto i te wā postoperative wawe. Tata 95 ōrau o ngā take ārai te re-whanaketanga o polyposis.

Ko te mate whakarārangitia ko nga ngā tukanga matua, i roto i nei te whakaritea "budesonide".

I te tahi taime, e taea te whakahaere te tarukino ki te ārai i te whanaketanga o te mate pūkahukahu taunutia. ngā take pēnei i ngā tūroro ki mate mahi mahi ranei i roto i ngā āhuatanga mahi mōrearea. Engari kia tatou mahara e ara te whakamahi i te tarukino hoki te ārai, e kore matou e wareware dosing tupato o te tarukino, mai ki te kore he tūpono tiketike whiwhi raruraru ki te repe adrenal, me withdrawal syndrome glucocorticoids.

I roto i ētahi wā, Heoi, contraindicated tona whakamahinga te?

contraindications

I raro i te mea tukanga me mate, e kore e whakamahi i "Budesonide"? Tohutohu mō te whakamahi o te raau taero tohu te mate e whai ake nei:

• tūtohutanga Nui ake ki te tarukino ona wae ranei. Risk o te whakawhanake angioedema.
• Ko te puka kaha o te mate kohi.
• Diseases o te take mai fungal matehā.
• tukanga hopuhopu whakapeka i roto i te wahi gastrointestinal.
• Pākaha iti hoki ate.
• tau o ngā tamariki.

I roto i enei mate katoa, rāhuitia te whakamahi o corticosteroids te. Ko tenei e tika ana ki te meka i te tarukino ranei whakatairanga tukanga exacerbate ranei kē tona akoranga. E kore e taea e nga tamariki te whakamahi i tenei tarukino hoki e taea e whakapōrearea i te hanga whaiaroaro o hormones glucocorticoid no o te kaihautanga o te uho adrenal.

Kei reira ētahi whāititanga, i roto i nei kia whakamahia tūpato tino "budesonide". Tohutohu i runga i te tono faaara e rawa āta kia whakamahi i te tarukino hoki te iwi ki te takawhita, mate huka, pheochromocytoma, ngako whewhe pekitīlia me whewhe duodenal.

pānga taha

I reira kahore he tarukino, te whakamahi o nei kihai i pai i whakawhanakehia te pānga ngā taha. Kia aroha mai, "Budesonide" Ko hoki he tarukino ki te tūāwhiorangi tika nui o ngā kino o tona mahi.

Ki te whakamahi koe i "budesonide" inhalation, te pānga taha matua o ona whakamahi ka waiho he disorders kupu (dysphonia), whango, mangai maroke, mare, te whanaketanga bronchospasm ihoa.

A, no te riro-waha, kia whakawhanake korekore, whanoke, me te kārangirangi.

kia tauhohe te pūnaha Cardiovascular ki te whakataki o "Budesonide" whanaketanga o vasculitis, he hua i roto i te pēhanga toto pūnahanaha, tachycardia.

Te raau kia meinga me whakahōhā o mate gastrointestinal - tuwhenua, pancreatitis. I tua atu, whakaongaonga reira te whanaketanga o disorders dyspeptic.

Te reira i tōraro pānga te pūnaha musculoskeletal. Pea te whanaketanga o te osteoporosis, myasthenia gravis, mamae tahi.

Ko te pānga taha tino nui ko te syndrome o Cushing. Puta reira e tika ana ki te meka i roto i te wā o te fariiraa i glucocorticoids heke te kōtuitui o ona ake hormones. Ki te whakamahia corticosteroids mo te wa roa, kia mutu noa te repe adrenal ki te synthesize taonga whaiaroaro e tika pā i te hauora o te manawanui. Ko Ko te aha e mea faufaa ki āta aroturuki i te horopeta riro hormones, me te te tika ki te mutu tango ratou.

whakatikatikanga inenga

I roto i te aha kia pota kia whakahaerea "Budesonide? Tohutohu e tuhituhia whakarato te talena dosing e whai ake nei.

Mā te puka inhalation "budesonide" e hāngai ana i runga i te pakeke o te mate. Ko te horopeta tino arotau mō te pakeke, ko te 200-800 micrograms ia ra. E kore e te horopeta rā mōrahi nui 1.5 mg. I roto i te tamariki, contraindicated te tarukino te mo te whakamahi, me kua whakaritea ona analogs rite ki te pakeke o te take.

Kei te whakamahia te puka-waha o te tarukino mō te 30-60 meneti i mua i te kai. Whakamahi o runga ki te 3 mg 3 ngā wā ia ra. Ko te akoranga o te maimoatanga he rongoā-waha hoki e pā ana ki 2 marama. kawea te kore o te tarukino i roto i āta ki te ārai i ngā tohu withdrawal.

Intranasal te tikanga whakaritea "Budesonide Iziheyler". tīpakohia te horopeta te takitahi mo te tangata ia, i runga i te pakeke o te tukanga rānei. I te toharite, te whakamahi ratou 2-3 pata o te tarukino i roto i ia pongāihu rua rā. I roto i te tamariki, contraindicated tenei ahua o te tarukino te. Ko te akoranga o te maimoatanga he hoki te 2 wiki.

Ngā pāhekoheko ki ētahi atu taero

Etahi o nga raau taero ina whakamahia i roto i te taha ki "Budesonide" taea waimaero tona absorption. Ēnei taero ngā inhibitors o cytochrome P450. Hei tauira, ki te whakamahi koe i rua "budesonide" ( "Pulmicort" - hei tairitenga) me taero pērā i "Ketoconazole" "erythromycin" kia pōturi excretion i te toto o te glucocorticoid, e, he mahi wehe ki te whanaketanga o te haurangi hormonal me te ahua o ngā pānga kino o te tarukino.

Tahitia ana e tango "Budesonide" me etahi Diuretics ( "Indap") whai wāhi ki te whanaketanga o te hypokalemia i te manawanui, i kore e pā te mahi o te ngakau.

He maha ngā taero (hei tauira, waikawa - "Almagel") i te whakamahi i te "budesonide" faaitoito i runga i ia atu pānga faahapahapa, i.e. e kore e tukua tetahi ki tetahi ki te faaitoito tona pānga haumanu. No te mea o tenei, e tūtohu ana ki te whakamahi i enei taero i te wā o te iti rawa e rua haora (pā ki te ahua-waha o te tarukino anake).

Mā te whakamahi i te tarukino hoki inhalation

Kua Mai kua hanga matua te rongoa mo te maimoatanga o mate o te wahi romahā, he mea e tika ana ki te matau i roto i te mea ara kia hoatu ki a ratou.

puka hau o te tarukino hanga rawa he rota, engari kei te tikanga converges ratou whakamahi i roto i ngā huarahi maha.

Tuatahi, kei te nuinga o whakahaere enei taero te whakamahi i te nebulizer. Tenei mīhini taea ki a koe te tomo ki te Airways horopeta tino ki āu o rongoā. Ko te tikanga ngaro tetahi wahi o te puehu mō te inhalation, ki te hopu i te tohu o te huangō COPD ranei.

Hoki tenei whakaaro, tikanga whakamahia "Budesonide-Māori." arai ana tēnei raau e te u Russian. I roto i tona hanganga te maua e te tarukino te whakatārewatanga o (paura ranei) "Budesonide". utaina te nebulizer he rīpene ki te tarukino, ka tomo kaihoko inspiratory nga bronchi me pūkahukahu.

E wātea ana i roto i te puka o te aerosol, e kei hoki "budesonide" He maha ngā taero. ingoa hokohoko kia ratou rerekē i ia atu, engari ko te glucocorticoid taua tonu te whakauru hohe. Ki te tango te tarukino taua, kia mahara ai e kei tetahi horopeta o aerosol 0.05 ml o te budesonide (ko reira nui ki te mohio i roto i te tikanga e kore e ki te meinga i te tuwhena rawa o glucocorticoids).

Ko te utu o te tarukino

Homai te rahi o te mākete ngā rongoā o nāianei, ko te kore e uaua ki te tiki ake mo ratou, "Budesonide" mo te inhalation. Ko tōna utu me ona analogues kia rerekē, engari kia mahara ai e te taua katoa i roto i to ratou hanganga o te whakauru matua kaha he budesonide. Ka whakawhirinaki te utu o te raau taero i runga i te tangata e hanga te rongoā, me ahakoa ko reira he tarukino arai drugs whānui ranei.

hokona te raau e anake i roto i pharmacies. Kia pehea te nui e utu i te reira "Budesonide"? Ko tōna utu me ona analogues ko te toharite o i 300 ki te 2000 moni. Te reira i katoa tei runga i te hunga ko te kaiwhakanao, me e ahua o te tuku tarukino. Hei tauira, whakaputaina he tarukino pērā i "benacort" kei roto i te puka o capsules ki puehu mō te inhalation. I te toharite, utu reira 400 moni. He nui atu te utu taero Ingarangi. Hei tauira, kei "Budesonide Formoterol" ahumahi Ingarangi i roto i moni 2,000, e taea e kore katoa. Noa hoko hua Slovenian, e kore e nei i rerekē i roto i te mahi, a ko ngawari te.

kua i roto i te akoranga i kï reira e te raau taero atu te utu he tata kahore ara iho ki o ratou ritenga pūtea. Reira, he aha te tarukino ki te hoko - te kōwhiringa o ia takitahi, i runga i ona hiahia, me te haumaru rānei.

Reviews o teuteu

taero Glucocorticoid kua roa kua whakamahia e te tūroro maha ki te syndrome o taunutia ma'i huangō ranei. Tata tūroro katoa ki te ahua nui o tetahi o enei mate tautapatia te ki "budesonide". Ko tōna analogues noho te pūtau tika whanui i roto i te rēhita o ngā rongoā ki enei mate, na maha e rongo nga wahi katoa. Tenei rongoā pērā i, mo te tauira, "Apulein" "Benakap" "Buderin", whakahuatia kua runga ake "Pulmicort" me "benacort" etc.

E ai ki tūroro maha, ko enei raau taero te pai i roto i te maimoatanga o mate o te wahi romahā. Tino he iwi torutoru nei kihai i pai i awhinatia te puka inhalation o te glucocorticoid ona i ngā ki beta-agonists ranei.

Ki te dosing rongoā tika i taea ki te whakatutuki i te whakapai ake nui i roto i enei tūroro. I tēnei wā, he tokomaha e kore noa e nehenehe e feruri o te ora, me te ora noa i waho te whakamahi o enei taero.

Heoi, ahakoa te maha arotake pai, i reira te mea he taha pouri o te tarukino rite "Budesonide" - utu.

Hoki te wa roa i reira ko te huru ki rongoā huangō whakarite noa ki tūroro i roto i te hiahia. tūroro katoa i taea e haere mai ki te rongoā, me ki runga ki whakaaturanga o te tuhinga e hāngai ana ki te tiki rongoā noa mo ratou ake hiahia.

I reira, kua mahi hoki i te reira, engari ope, e kua tika ana ki te wewete i enei taero tino whāiti. Na ko noa o te tiaki anake ki te iwi ki te hauā 1 me te 2 ngā rōpū, me te tamariki enei taero; Ētahi atu iwi i ki te hoko i rongoa mo o ratou ake moni. Hoatu e e te faaineineraa rawa he rota, taea kore tangata katoa ringa taua maimoatanga.